On this page you will find information that is no longer news or current information but is still needed or helpful to providers.
| Billing Information |
Word and PowerPoint |
PDF |
| Provider Training Details |
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| Appendix I: Provider Training Details (09/14/2007) |
(.doc) |
(.pdf) |
| Void Functionality in MeCMS |
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| MeCMS Void Provider Presentation (10/31/2007) |
|
(.ppt) |
| Cover Letter: Norman Curtis (09/24/2007) |
(.doc) |
(.pdf) |
| Cover Letter: Tony Marple (09/14/2007) |
(.doc) |
(.pdf) |
| Cost of Care/Copay/Modifiers/Edits Processing Failure (CCME) |
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| Cover Letter for 01/21/2008 Repair Bundle |
(.doc) |
(.pdf) |
| Letter to Providers Regarding Services that Require Copays |
(.doc) |
(.pdf) |
| Cost of Care/Copay/Modifiers/Edits Processing Failure |
(.doc) |
(.pdf) |
| MECMS Limits Functionality |
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| Limits Functionality Provider Instructions |
(.doc) |
(.pdf) |
| Void Functionality to be Implemented in MeCMS |
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| MaineCare Contacts for Claims Adjustments |
(.doc) |
(.pdf) |
| Overview of Voids Functionality in MeCMS (10/25/2007) |
(.doc) |
(.pdf) |
| Appendix II: Electronic Claims FAQ's (09/14/2007) |
(.doc) |
(.pdf) |
| Appendix III: Voids Information for Cost-Settled Providers (09/14/2007) |
(.doc) |
(.pdf) |
| Timely Filing |
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| Timely Filing |
(.doc) |
(.pdf) |
| |
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| Back to Top |
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| False Claims Act |
| False Claims Act |
|
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| False Claims Act Cover Letter (05/24/2007) |
(.doc) |
(.pdf) |
| DOJ Summary (05/24/2007) |
(.doc) |
(.pdf) |
| False Claims Act Desk Review Checklist (05/24/2007) |
(.doc) |
(.pdf) |
| Special Letter to Providers Who Received $5 Million or More In the Federal Fiscal Year (05/31/2007) |
(.doc) |
(.pdf) |
| Financial |
| Claims Hold For Recovery of Interim Payments |
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| Letter to Providers (05/03/2007) |
|
(.pdf) |
| Frequently Asked Questions (04/19/2007) |
(.doc) |
(.pdf) |
| Information on Release of Claims from Claims Hold Recovery (11/13/2007) |
(.doc) |
(.pdf) |
| Managed Care |
| Newsletters from 2000 - 2007 |
| APS Maine Behavioral Health Administrative Services Organization Presentation (11/08/2007) |
|
(.ppt) |
| Manuals |
| |
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| Back to Top |
| Pharmacy Information |
| Manufacturer Prescription Drug Fees |
|
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| For information regarding Manufacturer Prescription Drug Fees please go to the DHHS CDC Website link: http://www.maine.gov/dhhs/boh/manufacturer_laws_fees.htm |
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| Physician |
| Physician Document of Rehab OT and PT Services (03/14/2005) |
|
(.pdf) |
| MaineCare Compliance with Centers for Medicare and Medicaid Services (CMS) Regulations for Physician-Administered Drugs |
|
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| Communication to Providers - J Code Issue - Reporting Requirement Postponed (01/15/2008) |
(.doc) |
(.pdf) |
| NDC Letter From Tony Marple (12/12/2007) |
(.doc) |
(.pdf) |
| Top 20 Physician Administered Drugs (03/13/2008) |
|
(.pdf) |
| Physician-Administered Drugs (05/25/2007) |
(.doc) |
(.pdf) |
| Policies/Rules |
| Waivers |
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| MaineCare Waivers are listed in the Member tab under the Special MaineCare Eligibility Section. |
| Primary Care Physician Resources |
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| Prior Authorization |
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| Provider Enrollment |
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|
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| Provider Training |
| MR and Autism Waiver Provider Training (12/2006) |
(.ppt) |
(.pdf) |
| Provider Waiver Training |
(.ppt) |
(.pdf) |
| Back to Top |
| Schaller Anderson |
|
|
| Schaller Anderson Services |
|
|
| Geoff Green Letter to Home Health Agencies |
|
(.pdf) |
| Home Health Frequently Asked Questions |
(.doc) |
(.pdf) |
| Geoff Green Letter to Outpatient Therapies |
|
(.pdf) |
| Geoff Green Letter to Rehab Facilities |
|
(.pdf) |
| Timely Filing |
| Update on Timeline Requirements for the Submission of Claims (06/2006) |
|
(.pdf) |
| Timely Filing (12/2006) |
(.doc) |
|
Note:If you can not read the above files you can use these links to
access Word Viewer for .doc files or Adobe
Acrobat for .pdf files.
